DONNA DANETTE JACKSON (NPI# 1821308404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821308404 |
| Entity Type | Individual |
| Full Name | DONNA DANETTE JACKSON |
| Credential | LCSW |
| Practice Address |
7534 Selwyn Court Fayetteville NC 28303-2333 |
| Practice Telephone | 9102863084 |
| Practice Fax Number | 9108673067 |
| Mailing Telephone | 9102863084 |
| Mailing Fax Number | 9108673067 |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2014-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C006871 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114531217 | Donna Lachelle Jackson | Registered Nurse | 2946 Meadow Brook Trl, Tyler, TX 75701-5101 | 2020-09-04 |
| 1659835411 | Donna J Jackson | Registered Nurse | 118 E Robertson Rd, Castalian Springs, TN 37031-4610 | 2019-01-25 |
| 1407330129 | Donna Hibbert Jackson | Acupuncturist | 1401 E Williams Field Rd Ste 19, Gilbert, AZ 85295-1646 | 2018-09-18 |
| 1679997837 | Donna Jackson | Psychologist | 155 Katherine Lee Bates Rd # 21, Falmouth, MA 02540-2845 | 2014-02-08 |
| 1477797009 | Donna Marie Jackson | Behavioral Analyst | 8080 Crowder Blvd Ste E, New Orleans, LA 70127-1077 | 2009-04-27 |
| 1679690671 | Donna Eugenia Jackson | Nurse's Aide | 2759 Beal Dr, Donna E Jackson, Columbus, OH 43232 | 2007-03-23 |
| 1235280645 | Donna R. Jackson | Psychologist | 2724 Madison Rd, Cincinnati, OH 45209-2209 | 2007-01-13 |
| 1417495383 | Donna Marie Jackson | Social Worker | 4212 Old Grand Ave, Suite 102, Gurnee, IL 60031-2708 | 2017-02-10 |
| 1912324229 | Donna Jackson | Speech-Language Pathologist | 141 Lloyd Rd, West Union, OH 45693-8974 | 2014-03-25 |
| 1649604471 | Donna Rochelle Jackson | Rehabilitation Practitioner | 101 S Rainbow Blvd, Suite 1-4, Las Vegas, NV 89145-5362 | 2013-08-28 |
| Street Address |
7534 SELWYN COURT |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-2333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484201 | Torrie Luciana Powell | Social Worker | 3526 Standard Dr, Fayetteville, NC 28306-8089 | 2020-10-15 |
| 1053918169 | Activelife Counseling, LLC | Social Worker | 1792 E Joyce Blvd Ste 105, Fayetteville, AR 72703-5253 | 2020-10-02 |
| 1861004996 | Roderick Eugene Brown Jr. | Social Worker | 2014 Litho Pl Ste 200, Fayetteville, NC 28304-2518 | 2020-08-19 |
| 1427667278 | Valerie Russell | Social Worker | 6209 Lakehaven Dr, Fayetteville, NC 28304-0610 | 2020-07-28 |
| 1942822671 | Alexis Oneal Vestal | Social Worker | 723 Athens Ave, Fayetteville, NC 28301-4800 | 2020-05-15 |
| 1346862281 | Heather Marie Sroka | Social Worker | 690 N Reilly Rd # F, Fayetteville, NC 28303-5724 | 2020-05-14 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1730716887 | Denise Rodriguez | Social Worker | 2885 N Brookbury Xing, Fayetteville, AR 72703-4377 | 2020-03-26 |
| 1982239877 | Alicia Story | Social Worker | 3035 Boone Trail Ext, Fayetteville, NC 28304-3992 | 2020-03-11 |
| 1053959619 | Benlyd Colon | Social Worker | 2940 Breezewood Ave Ste 101-201, Fayetteville, NC 28303-5520 | 2019-12-13 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
Please comment or provide details below to improve the information on DONNA DANETTE JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.